BAYCARE MEDICAL GROUP PEDIATRIC WALK-IN CARE LLC


Address: 4211 Van Dyke Rd, Suite 100, Lutz, FL 33558-8005
Phone: 8139601813

BAYCARE MEDICAL GROUP PEDIATRIC WALK-IN CARE LLC (NPI# 1861850117) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1861850117
Entity Type Organization
Organization Name BAYCARE MEDICAL GROUP PEDIATRIC WALK-IN CARE LLC
Practice Address 4211 Van Dyke Rd
Suite 100
Lutz
FL 33558-8005
Mailing Address Po Box 743409
Atlanta
GA 30374-3409
Practice Telephone 8139601813
Practice Fax Number 8134438172
Mailing Telephone 7275320002
Mailing Fax Number 7275321325
Enumeration Date 2016-02-02
Last Update Date 2016-02-02
Authorized Official Name MR. KEVIN L CORRIGAN (CAO)
Authorized Official Telephone 7275320002
Is Organization Subpart N

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 208000000X Pediatrics FL Allopathic & Osteopathic Physicians

Office Location

Street Address 4211 VAN DYKE RD
SUITE 100
City LUTZ
State FL
Zip Code 33558-8005

Providers in the same location

NPI Name Taxonomy Address Enumeration
1306841937 Ronald Eugene Stephans Jr. Family Medicine 4211 Van Dyke Rd, Suite B, Lutz, FL 33558-8005 2005-06-20
1871119008 Jeysi Alvarez Anesthesiologist Assistant 4211 Van Dyke Rd, Lutz, FL 33558-8005 2020-06-23
1548884364 Garren Dial Anesthesiologist Assistant 4211 Van Dyke Rd, Lutz, FL 33558-8005 2020-06-08
1861028409 Chf Care Pllc Internal Medicine 4211 Van Dyke Rd, Lutz, FL 33558-8005 2020-03-16
1457623233 St Josephs Hopsital Nurse Practitioner 4211 Van Dyke Rd, Lutz, FL 33558-8002 2012-02-08
1710266507 Emergency Medical Associates of Tampa Bay LLC Emergency Medicine 4211 Van Dyke Rd, Lutz, FL 33558-8002 2011-08-10
1194016006 Tampa Cardiac Specialists LLC Internal Medicine 4211 Van Dyke Rd, Suite 205, Lutz, FL 33558-8002 2011-04-26
1710277249 Brett A Armstrong Surgery 4211 Van Dyke Rd, Suite 200, Lutz, FL 33558-8004 2011-04-18
1881995579 Deana M Lantz Nurse Practitioner 4211 Van Dyke Rd, Suit 101b, Lutz, FL 33558-8005 2010-11-11
1316268147 Emergency Medical Associates of Florida LLC Emergency Medicine 4211 Van Dyke Rd, Lutz, FL 33558-8002 2010-06-16
Find all providers in the same location

Providers in the same zip code

NPI Name Taxonomy Address Enumeration
1801353792 Oral Maxillofacial and Implant Specialists, LLC Dentist 4675 Van Dyke Rd., Lutz, FL 33558 2019-02-27
1780175273 Elder Services of Central Florida, Inc Home Health 17901 Hunting Bow Cir Ste 101, Lutz, FL 33558 2018-05-21
1356843106 Physicial Medicine & Rehab Consultants Clinic/Center 18865 State Road 54 Ste 301, Lutz, FL 33558 2018-03-07
1376905851 Michelle Renee Story Contractor 20921 Haulover Cv. #f6, Lutz, FL 33558 2016-03-24
1992192223 Melissa Sonia Giblin Specialist/Technologist, Other 17535 Darby Ln, Lutz, FL 33558 2015-04-24
1396177739 Zoe Scripts Laboratory Services LLC Clinical Medical Laboratory 4969 Van Dyke Rd., Lutz, FL 33558 2013-08-08
1649617705 Suzanne Marie Newby Physician Assistant 16541 Pointe Village Dr Ste 209, Lutz, FL 33558 2013-05-30
1073889572 Julie J. Mckean, Lmhc, Ncc, LLC Counselor 4929 Van Dyke Road, Lutz, FL 33558 2012-03-29
1750524864 Sheetal Suryawanshi Dentist 17735 Hunting Bow Circle, Lutz, Florida, FL 33558 2009-04-20
1063675478 Juan J Egas Physical Medicine & Rehabilitation 17807 Hunting Bow Cir, Lutz, FL 33558 2008-07-07
Find all providers in zip 33558

Taxonomy Information

Taxonomy Code 208000000X
Grouping Allopathic & Osteopathic Physicians
Classification Pediatrics

Taxonomy Definition

A pediatrician is concerned with the physical, emotional and social health of children from birth to young adulthood. Care encompasses a broad spectrum of health services ranging from preventive healthcare to the diagnosis and treatment of acute and chronic diseases. A pediatrician deals with biological, social and environmental influences on the developing child, and with the impact of disease and dysfunction on development.
Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: definition added, source added; 7/1/2011: modified source]
- Additional Resources: American Board of Pediatrics, 2007. http://www.abp.org/. American Osteopathic Board of Pediatrics, 2007. http://www.osteopathic.org/certificatio
- Board certification for Medical Doctors (MDs) is provided by the American Board of Pediatrics. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Pediatrics.

Providers in the same taxonomy and city

NPI Name Taxonomy Address Enumeration
1457778383 Ryan Allen Baker Pediatrics 1854 Oak Grove Blvd, Lutz, FL 33559-8605 2014-03-28
1780010512 Yanina Abaunza-fiallos Md Pa Pediatrics 17541 N. Dale Mabry Hwy., Lutz, FL 33548 2013-09-25
1891006888 Wendy J Masterman Pediatrics 21758 State Road 54, Lutz, FL 33549-6921 2010-06-24
1336398163 Mildred J Perea-bonet Pediatrics 1942 Highland Oaks Blvd Ste B, Lutz, FL 33559-7410 2008-09-17
1336365907 Nirmala Inc Pediatrics 18928 N. Dale Mabry Hwy, Ste 102, Lutz, FL 33548 2007-04-18
1578616447 Sanjeev Grover Pediatrics 217 Crystal Grove Blvd, Suite 102, Lutz, FL 33548-6465 2007-01-22
1558433359 Yanina J Fiallos Pediatrics 17541 N Dale Mabry Hwy, Lutz, FL 33548-4521 2006-11-15
1336165265 Robert A Buzzeo Pediatrics 1932 Highland Oak Boulevard, Lutz, FL 33559 2006-07-14
1467419747 Linda Ann Terrone Pediatrics 4927 Van Dyke Rd, Lutz, FL 33558-4813 2006-04-28
1730182312 Jose Enrique Colon Pediatrics 4683 Van Dyke Rd, Lutz, FL 33558-4880 2005-05-27
Find all providers in LUTZ

Competitor

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City LUTZ
Zip Code 33558

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Dataset Information

Data Provider Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES)
Jurisdiction Medicare & Medicaid

This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.

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